Evidence map›Paper›PMID 41371566›Full record

ArticleArchives of physical medicine and rehabilitation2026

Barriers and Facilitators to Participating in Pediatric Oncology Rehabilitation: Childhood Cancer Survivor and Caregiver Perspectives.

Hannah E Rice, Ashley J Housten, Allison A King, Amy Reando, Allison J L'Hotta

Abstract readMulticenter Study
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hannah E RiceDepartment of Surgery, Public Health Sciences, Washington University in St. Louis, School of Medicine, St. Louis, MO.
Ashley J HoustenDepartment of Surgery, Public Health Sciences, Washington University in St. Louis, School of Medicine, St. Louis, MO.
Allison A KingDepartment of Surgery, Public Health Sciences, Washington University in St. Louis, School of Medicine, St. Louis, MO; Department of Pediatrics, Division of Hematology and Oncology, Washington University in St. Louis, School of Medicine, St. Louis, MO.
Amy ReandoSt. Louis Children's Hospital, Department of Rehabilitation, St. Louis, MO.
Allison J L'HottaDepartment of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO; Children's Hospital Colorado, Department of Rehabilitation Medicine, Aurora, CO. Electronic address: allison.lhotta@cuanschutz.edu.

Funding

Paul Calabresis Award in Clinical Oncology ResearchK12CA086913 · NCI · UNIVERSITY OF COLORADO DENVER · PI VIRGINIA F. BORGES, Jill E Slansky · 2000 to 2026
$17.8M
Washington University Implementation Science Center for Cancer Control (WU-ISCCC)P50CA244431 · NCI · WASHINGTON UNIVERSITY · PI COLDITZ, GRAHAM A. · 2019 to 2023
$8.0M
(SCANS) Sickle Cell Anemia Neurodevelopmental Screening - Mentoring and Research in Patient Oriented ResearchK24HL148305 · NHLBI · WASHINGTON UNIVERSITY · PI Allison A King · 2019 to 2026
$706k
NCI NIH HHS K12 CA086913NCI NIH HHS P50 CA244431NHLBI NIH HHS K24 HL148305
6 · The paper itself

Abstract

objectiveTo characterize childhood cancer survivors (CCS) and caregiver barriers and facilitators to participating in rehabilitation therapies, specifically physical therapy, occupational therapy, and speech-language pathology following a new pediatric cancer diagnosis.

designMultisite qualitative study.

settingTwo US academic medical centers in the Midwest and Mountain West regions.

participantsThirteen CCS diagnosed with cancer before the age of 19 years, with a rehabilitation referral, and 33 caregivers of CCS meeting eligibility criteria (N = 46 CCS and caregivers).

interventionsNot applicable.

main outcome measuresNot applicable.

resultsWe identified 5 key themes: (1) consistency in care; (2) unique needs of CCS; (3) access to local rehabilitation services in home communities; (4) caregiver engagement; and (5) costs and insurance coverage. Receiving routine care from consistent providers helped CCS feel comfortable participating in and challenging themselves in therapy. Organizational and provider supports helped families navigate transitions between rehabilitation settings. Participants reported challenges related to finding care that met CCS unique needs in their home communities and identifying providers who were knowledgeable of these needs. Patient safety and comfort were influenced by factors such as rehabilitation setting and sanitized to reflect the needs of immunocompromised CCS. Organizational and provider supports helped families with associated care cost barriers, including insurance coverage.

conclusionsCCS and caregiver experiences with rehabilitation services are influenced by supports and challenges at multiple levels, including individual, community, and organizational levels. These findings can inform current and future pediatric oncology rehabilitation program multilevel implementation and promote patient and family participation. Contextual factors that influence these efforts should be a focus of future research.

Indexed as

Cancer SurvivorsCaregiversHealth Services AccessibilityNeoplasmsAdolescentAdultChildChild, PreschoolFemaleHumansMaleOccupational TherapyQualitative ResearchYoung AdultAdolescentAdultCancer survivorsCaregiversChildHealth services researchQualitative researchRehabilitation

Identifiers

PMID41371566
PMCPMC12854692

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.